MEDICARE: SEBIKO CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0700X	Hearing and Speech Clinic/Center

General Provider Information

NPI Number	:	1891483665
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEBIKO CORPORATION

Provider Business Mailing Address
First Line	:	2930 W 5TH ST APT 19L
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-4841
Country	:	US
Telephone Number	:	347-658-4940
Fax Number	:

Provider Business Practice Location Address
First Line	:	2930 W 5TH ST APT 19L
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-4841
Country	:	US
Telephone Number	:	347-658-4940
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BARBARA FRIDMAN
Credential	:
Telephone Number	:	347-658-4940

Provider Enumeration Date	:	04/28/2023
Last Update Date	:	04/28/2023

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Directions to “SEBIKO CORPORATION ” Practice Location

Language	Start Address	Practice Location

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